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The Nightmare in Defect Occlusion by Transcatheter: A Case Report

Heart Science Journal · Vol. 3 No. 3 (2022) · hlm. 38–40

DOI
10.21776/ub.hsj.2022.003.03.7
ISSN
2721-9984, 2721-9976
Terbit
2022-07-28
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: ASD closure ASD closure with a transcatheter is the first choice in patients who meet the criteria for insertion. Closure using this method is relatively safe, and has low complications. Several factors must be considered so that this closure action can be optimal. Case illustrations:A 24-year-old woman with complaints of shortness of breath during strenuous activities since 3 years ago. Transthroracal echocardiography showed a gap in the IAS of 1.7-1.9 cm. The patient then underwent TEE and DXRL. The patient was planned for percutaneous ASD closure with zero fluoroscopy. The patient was punctured on the right femoral, and entered into the occluder memopart no 24 mm. Do a wriggle test, the occlude tool is installed properly. When the device was pulled out, the patient's blood pressure dropped to 75/52. On TEE examination, pericardial effusion was found and pericardiocentesis was performed, obtained 600 cc of fluid. The patient was then observed in the ICVCU, and there was no additional free fluid in the pericardial cavity. Discussions:ASD closure can be done through percutaneous and surgery. Closure via percutaneous is the main option. Complications and treatment period is shorter than surgery. Preparation and timing of appropriate action is closely related to clinical outcomes. Observation and knowledge of the risks of the procedure are very important to be able to detect complications and optimize clinical outcomes. Â

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  • University of Brawijaya
  • Padjadjaran University
  • Universitas Halu Oleo
  • RSUD Prof. Dr. Saiful Anwar Malang
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Rekan penulisOrganisasiArtikel bersama
Cholid Tri TjahjonoUniversity of Brawijaya14
Mohammad Saifur RohmanUniversity of Brawijaya13
Anna Fuji RahimahUniversity of Brawijaya12
Indra PrasetyaUniversity of Brawijaya11
Novi KurnianingsihUniversity of Brawijaya10
Ardian RizalUniversity of Brawijaya9
Valerinna YogibuanaAfiliasi tidak diketahui4
Budi SatrijoUniversity of Brawijaya4
Sasmojo WiditoUniversity of Brawijaya3
Ayu Asri Devi AdityawatiUniversity of Brawijaya3
Setyasih AnjarwaniUniversity of Brawijaya3
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya3
Djanggan SargowoUniversity of Brawijaya2
Zainal FathurohimUniversity of Brawijaya2
Lukitasari Ayu Galuh ArdhiUniversity of Brawijaya2
Wella KarolinaUniversity of Brawijaya2
Indra Jabbar AzizUniversity of Brawijaya2
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang2
Putri Annisa KamilaUniversity of Brawijaya2
Yoga WaranugrahaUniversity of Brawijaya2
Dadang HendrawanUniversity of Brawijaya2
Irma Kamelia PratiwiUniversity of Brawijaya2
Fandy HazzyUniversity of Brawijaya2
Anas NikoyanUniversitas Halu Oleo1
Mariadi MariadiUniversitas Halu Oleo1
Yuniar MulyaniPadjadjaran University1
Iskarimah YolanisaPadjadjaran University1
Ibnu Dwi BuwonoPadjadjaran University1
Ratih Kusuma WardaniAfiliasi tidak diketahui1
Renny SuwarniatyUniversity of Brawijaya1
Taufieq Ridlo MakhmudUniversity of Brawijaya1
Faris Wahyu NugrohoUniversity of Brawijaya1
Annisa Dallilatul HasanahUniversity of Brawijaya1
Bambang KusbandonoUniversity of Brawijaya1
Citra TarannitaUniversity of Brawijaya1
Aditha Satria MaulanaUniversity of Brawijaya1

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">The Nightmare in Defect Occlusion by Transcatheter: A Case Report</dc:title>
	<dc:creator xml:lang="en">Iskandar, Iskandar</dc:creator>
	<dc:creator xml:lang="en">Widasmara, Seprian</dc:creator>
	<dc:creator xml:lang="en">Pancasari, Ratna</dc:creator>
	<dc:creator xml:lang="en">Martini, Heny</dc:creator>
	<dc:subject xml:lang="en">Complication</dc:subject>
	<dc:subject xml:lang="en">percutaneous</dc:subject>
	<dc:subject xml:lang="en">Atrial Septal Defect</dc:subject>
	<dc:subject xml:lang="en">Pericardial Effusion</dc:subject>
	<dc:description xml:lang="en">Background : ASD closure ASD closure with a transcatheter is the first choice in patients who meet the criteria for insertion. Closure using this method is relatively safe, and has low complications. Several factors must be considered so that this closure action can be optimal. Case illustrations:A 24-year-old woman with complaints of shortness of breath during strenuous activities since 3 years ago. Transthroracal echocardiography showed a gap in the IAS of 1.7-1.9 cm. The patient then underwent TEE and DXRL. The patient was planned for percutaneous ASD closure with zero fluoroscopy. The patient was punctured on the right femoral, and entered into the occluder memopart no 24 mm. Do a wriggle test, the occlude tool is installed properly. When the device was pulled out, the patient's blood pressure dropped to 75/52. On TEE examination, pericardial effusion was found and pericardiocentesis was performed, obtained 600 cc of fluid. The patient was then observed in the ICVCU, and there was no additional free fluid in the pericardial cavity. Discussions:ASD closure can be done through percutaneous and surgery. Closure via percutaneous is the main option. Complications and treatment period is shorter than surgery. Preparation and timing of appropriate action is closely related to clinical outcomes. Observation and knowledge of the risks of the procedure are very important to be able to detect complications and optimize clinical outcomes.  </dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2022-07-28</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1319</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2022.003.03.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 3 No. 3 (2022): Cardiovascular Disease in Young Adulthood: Who, When, and How to Screen?; 38-40</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2022.003.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/1319/253</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Iskandar Iskandar, Seprian Widasmara, Ratna Pancasari, Heny Martini</dc:rights>
</oai_dc:dc>